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Q: could long time use of advair cause sore, white spotted tongue and red roof of mouth
Great question. The answer is YES.
The steroids that settle in your mouth may wipe our the normal bacteria that live in your mouth that prevent the buildup of yeast or candidiasis in your mouth. Absent this bacteria, yeast may build up and cause white patchy spots in your mouth called thrush.
After using inhaled corticosteroids for over 25 years I I had thrush only once and my doctor prescribed Diflucan. It is a pill I took for only five days, and it worked great. Nystatin is a rinse that works fine too.
Here is a good tip: The best way to prevent thrush is to rinse and spit after every use of Advair or any other inhaled corticosteroid.
Yes! I went to my dentist a few months ago and he noticed these spots that you are talking about. I told him that I had been on Advair for several years. He told me that it is very imortant to rinse after every use. He also said that they can lead to gingivitis(inflammation of the gums) and to use a dental wash. I use one with no alcohol because they are too harsh but use one with hydrogen poroxide that helps if there is any sensivity. I would consult your doctor or dental hygenist on what the best options would be for you. I hope this helped good luck.
Good points. I also did read recently that inhaled corticosteroid use has been linked to cavities too, and it is a good idea to brush your teeth after using an inhaled corticosteroid along with rinsing.
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